Organization
JAY PEDIATRICS PA
Active
Other names
Marian B Stewart MD
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAN B STEWART MD (OWNER/PRESIDENT)
(850) 675-4546
Entity
Organization
Contact information
Practice address
14088 ALABAMA ST, JAY, FL 32565-1036
(850) 675-4546
(850) 675-4548
Mailing address
PO BOX 10, JAY, FL 32565-0010
(850) 675-4546
(850) 675-4548
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME68044
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009905570
ALACAID
AL
01
—
1202673
COVENTRY
—
01
—
1206338
UNITED HEALTHCARE
—
05
—
251076600
—
FL
01
—
264891884
TRICARE
—
01
—
32119
BLUE CROSS AND BLUE SHIELD OF FLORIDA
—
01
—
4878883
CIGNA
—
01
—
5173714
AETNA
—
01
—
59176907
BLUE CROSS AND BLUE SHIELD OF ALABAMA
—
Enumeration date
05/15/2012
Last updated
05/15/2012
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